OrganizationActive
Azd Derby, LLC
NPI 1174120539 · Skilled Nursing Facility · Derby, KS
Provider details
- NPI number
- 1174120539
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Noah Kaminer, Manager(316) 788-3739
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
445 N Westview Dr
Derby, KS 67037-2228
Phone: (316) 788-3739
Street-level locationGet directions
Mailing address
702 S Highway 6
Gretna, NE 68028-7970
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.